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Beverly Fredrick
Intellectual & Developmental Disabilities Psychologist in Calmar, Iowa
NPI 1245633106

Beverly Fredrick is a Intellectual & Developmental Disabilities Psychologist based in Decorah, IA and is specialized in Intellectual & Developmental Disabilities. Beverly Fredrick practices in Calmar, IA. The NPI Number for Beverly Fredrick is 1245633106 and holds a License No. (Iowa).

The current practice location address for Beverly Fredrick is 101 S Charles St, Calmar, IA and can be reached out via phone at 563-380-9242.

Location: 101 S Charles St, Calmar, IA, 52101-0225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245633106
Provider Name
Beverly Fredrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 S Charles St, Calmar, IA, 52101-0225
Phone Number
563-380-9242
Fax Number
Provider Enumeration Date
10/06/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X000705575 05 IA
institution
Provider Business Practice Location Address Details
Address
101 S Charles St
City
Calmar
State
Iowa
Zip
52132-7858
Phone Number
563-380-9242
Fax Number
person
Provider Business Mailing Address Details
Address
101 S Charles St
City
Calmar
State
Iowa
Zip
52132-7858
Phone Number
563-380-9242
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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